Generalized peritonitis due to spontaneous rupture of pyometra.

Spontaneous rupture of pyometra is a rare cause of generalized peritonitis. Only a few cases have been recorded in the English medical literature, most of which were associated with gynaecological malignancy. We have recently treated a patient with generalized peritonitis due to ruptured pyometra, in which there was no evidence of malignancy or other cervical disease. From comparison with the other published case reports, several features deserve emphasis.